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Research ArticlePEDIATRICS
Open Access

Evaluation of DISORDER: Retrospective Image Motion Correction for Volumetric Brain MRI in a Pediatric Setting

K. Vecchiato, A. Egloff, O. Carney, A. Siddiqui, E. Hughes, L. Dillon, K. Colford, E. Green, R.P.A.G. Texeira, A.N. Price, G. Ferrazzi, J.V. Hajnal, D.W. Carmichael, L. Cordero-Grande and J. O’Muircheartaigh
American Journal of Neuroradiology February 2021, DOI: https://doi.org/10.3174/ajnr.A7001
K. Vecchiato
aFrom the Department for Forensic and Neurodevelopmental Sciences (K.V., J.O.), Institute of Psychiatry, Psychology and Neuroscience
bCentre for the Developing Brain (K.V., A.E., O.C., E.H., L.D., K.C., E.G., R.P.A.G.T., A.N.P., J.V.H., L.C.-G., J.O.), School of Biomedical Engineering and Imaging Sciences
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A. Egloff
bCentre for the Developing Brain (K.V., A.E., O.C., E.H., L.D., K.C., E.G., R.P.A.G.T., A.N.P., J.V.H., L.C.-G., J.O.), School of Biomedical Engineering and Imaging Sciences
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O. Carney
bCentre for the Developing Brain (K.V., A.E., O.C., E.H., L.D., K.C., E.G., R.P.A.G.T., A.N.P., J.V.H., L.C.-G., J.O.), School of Biomedical Engineering and Imaging Sciences
eDepartment of Radiology (O.C.), Great Ormond Street Hospital for Children, NHS Foundation Trust London, United Kingdom
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A. Siddiqui
fDepartment of Radiology (A.S.), Guy’s and Saint Thomas’ Hospitals NHS Trust, London, United Kingdom
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E. Hughes
bCentre for the Developing Brain (K.V., A.E., O.C., E.H., L.D., K.C., E.G., R.P.A.G.T., A.N.P., J.V.H., L.C.-G., J.O.), School of Biomedical Engineering and Imaging Sciences
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L. Dillon
bCentre for the Developing Brain (K.V., A.E., O.C., E.H., L.D., K.C., E.G., R.P.A.G.T., A.N.P., J.V.H., L.C.-G., J.O.), School of Biomedical Engineering and Imaging Sciences
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K. Colford
bCentre for the Developing Brain (K.V., A.E., O.C., E.H., L.D., K.C., E.G., R.P.A.G.T., A.N.P., J.V.H., L.C.-G., J.O.), School of Biomedical Engineering and Imaging Sciences
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E. Green
bCentre for the Developing Brain (K.V., A.E., O.C., E.H., L.D., K.C., E.G., R.P.A.G.T., A.N.P., J.V.H., L.C.-G., J.O.), School of Biomedical Engineering and Imaging Sciences
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R.P.A.G. Texeira
bCentre for the Developing Brain (K.V., A.E., O.C., E.H., L.D., K.C., E.G., R.P.A.G.T., A.N.P., J.V.H., L.C.-G., J.O.), School of Biomedical Engineering and Imaging Sciences
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A.N. Price
bCentre for the Developing Brain (K.V., A.E., O.C., E.H., L.D., K.C., E.G., R.P.A.G.T., A.N.P., J.V.H., L.C.-G., J.O.), School of Biomedical Engineering and Imaging Sciences
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G. Ferrazzi
gIRCCS San Camillo Hospital (G.F.), Venice, Italy
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J.V. Hajnal
bCentre for the Developing Brain (K.V., A.E., O.C., E.H., L.D., K.C., E.G., R.P.A.G.T., A.N.P., J.V.H., L.C.-G., J.O.), School of Biomedical Engineering and Imaging Sciences
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D.W. Carmichael
cEPSRC/Wellcome Centre for Medical Engineering, Biomedical Engineering (D.W.C.)
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L. Cordero-Grande
bCentre for the Developing Brain (K.V., A.E., O.C., E.H., L.D., K.C., E.G., R.P.A.G.T., A.N.P., J.V.H., L.C.-G., J.O.), School of Biomedical Engineering and Imaging Sciences
hBiomedical Image Technologies, ETSI Telecomunicación (L.C.-G.), Universidad Politécnica de Madrid & CIBER-BBN, Madrid, Spain
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J. O’Muircheartaigh
aFrom the Department for Forensic and Neurodevelopmental Sciences (K.V., J.O.), Institute of Psychiatry, Psychology and Neuroscience
bCentre for the Developing Brain (K.V., A.E., O.C., E.H., L.D., K.C., E.G., R.P.A.G.T., A.N.P., J.V.H., L.C.-G., J.O.), School of Biomedical Engineering and Imaging Sciences
dMRC Centre for Neurodevelopmental Disorders (J.O.), King’s College London, London, United Kingdom
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  • FIG 1.
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    FIG 1.

    The different k-space data acquisitions. On the left side, the standard acquisition that sequentially acquires adjacent lines in the grid, with an example shot given as bigger dots in blue. The image on the right represents DISORDER’s “random-checkered” acquisition, in which every shot acquires distributed information in k-space with a certain degree of randomness.

  • FIG 2.
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    FIG 2.

    Estimated motion in relation to age. Older children tended to move less than younger ones. This was statistically significant for MPRAGE (A) and FLAIR (C) but not for TSE (B).

  • FIG 3.
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    FIG 3.

    The reduction in gradient entropy by motion correction (DiOut compared with Aq) relative to the estimated amount of motion for every participant in all 3 modalities: MPRAGE (A), TSE (B), and FLAIR (C).

  • FIG 4.
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    FIG 4.

    Differences in gradient entropy before and after motion correction (Di in A and DiOut in B) in relation to intrascan motion for the FLAIR images. The highlighted outlier datapoint (red circle) is shown on the bottom row. The example images show the reconstruction outcome in the participant with the highest intrascan motion. In this case, GE decreased after motion correction (more in the DiOut image), which visually relates to observers’ score that improved from unreadable (1) in the Aq image (C) to good and excellent (3/4) in Di (D) and DiOut (E), respectively.

  • FIG 5.
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    FIG 5.

    A, Three individual cases of MPRAGE images before and after motion correction and the corresponding motion trace displaying translations (Tra) and rotations (Rot) in 3 directions: anteroposterior (AP), left–right (LR), and foot–head (FH). B, High motion. C, Moderate motion. D, Little to no motion.

  • FIG 6.
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    FIG 6.

    Scores before and after motion correction (DiOut) for all modalities. Red and blue correspond to observer 1 and 2’s scores, respectively. The dot indicates the score before motion correction, and the triangle indicates the score after correction. Motion correction generally improved the image quality from a radiologic perspective.

  • FIG 7.
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    FIG 7.

    FLAIR images with and without motion correction. The red arrows highlight an area of focal cortical dysplasia in the left mesial frontoparietal region. These abnormalities are clearly better appreciated after applying DISORDER.

Tables

  • Figures
  • Descriptive demographics of the study population

    CharacteristicsHealthy Control ParticipantsPatients with EpilepsyTotal
    Number25732
    Age at scan  (years)
     Mean + SD11.32 ± 4.811.6 ± 3.711.4 ± 4.5
     1–5 303
     6–10 9312
     11–15 7310
     16–18 617
    Sex
     Male13316
     Female12416
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Evaluation of DISORDER: Retrospective Image Motion Correction for Volumetric Brain MRI in a Pediatric Setting
K. Vecchiato, A. Egloff, O. Carney, A. Siddiqui, E. Hughes, L. Dillon, K. Colford, E. Green, R.P.A.G. Texeira, A.N. Price, G. Ferrazzi, J.V. Hajnal, D.W. Carmichael, L. Cordero-Grande, J. O’Muircheartaigh
American Journal of Neuroradiology Feb 2021, DOI: 10.3174/ajnr.A7001

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Evaluation of DISORDER: Retrospective Image Motion Correction for Volumetric Brain MRI in a Pediatric Setting
K. Vecchiato, A. Egloff, O. Carney, A. Siddiqui, E. Hughes, L. Dillon, K. Colford, E. Green, R.P.A.G. Texeira, A.N. Price, G. Ferrazzi, J.V. Hajnal, D.W. Carmichael, L. Cordero-Grande, J. O’Muircheartaigh
American Journal of Neuroradiology Feb 2021, DOI: 10.3174/ajnr.A7001
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